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  1. www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - Tool: I-PASS I-PASS has become the preferred handoff tool for patient transitions in many organizations. It is an example of an evidence-based option for conducting a structured handoff. Your facility should determine a standard protocol for delivering handoffs and make it known to everyone. Standard scrip…
  2. www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
    March 01, 2021 - million people. 1 Heart disease is the second leading cause of death. 2 Although most of these deaths occur
  3. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - and co-authors examined networks of organizations, t reflecting typical patterns of interaction that occur … this level can provide insight into patterns of information sharing, collaboration, and referrals that occur
  4. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
    May 01, 2014 - Phase 3 Implementation Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 2 Checklist for Identifying Nursing Home Specific Antibiogram Modifications Wide variation occurs in the …
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship3.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Background Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …
  6. www.ahrq.gov/data/apcd/envscan/app-a.html
    June 01, 2017 - Some issues that pertain to APCD use occur with any claims database with more than one payer and literature
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  9. www.ahrq.gov/sites/default/files/publications/files/match.pdf
    August 01, 2012 - When does reconciliation occur? 4. … When does the followup occur? 4. … When does the followup occur? 4. … When does this occur? 4. … When does the followup occur? 4.
  10. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter1.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 1: Background Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging Trends in Care Co…
  11. www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 01, 2017 - Monitoring Ventilator-Associated Events: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Monitoring Ventilator-Associated Events Say: Today, we will discuss monitoring ventilator-associated events. Slide 2: Learning Objectives Say: After this session, you will…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Slide 1: Introduction to Preventable Hospital and ED Visits Reports …
  13. www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
    January 01, 2024 - Based on never events reported at UCLA, at least 1,400 such events occur nationally per year. … Significance Radiotherapy mis-administrations (never-events) continue to occur in both the planning
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    April 02, 2025 - usually answers these questions: What prevention practices are being used, and when does the practice occur … Audits or observations by the Implementation Team occur at designated times (such as during the first
  15. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  16. www.ahrq.gov/news/newsletters/e-newsletter/939.html
    November 01, 2024 - Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units Issue Number 939 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. November 26, 2024 AHRQ Stats: Trends in Healthcare-Associated Infections Between 2020 and 2021, the rate of inpatie…
  17. www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
    January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Appendix A. Grants Database Search Terms & Analytic Categories/Definitions Used in Portfolio Analysis 2008-2019 Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) In…
  18. www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
    February 01, 2017 - Exercise is used to identify potential barriers and vulnerabilities to project success before they occur
  19. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - LOCATION OF EVENT OR UNSAFE CONDITION is defined by DE78 in response to the question “Where did the event occur … LOCATION OF EVENT OR UNSAFE CONDITION is defined by DE78 in response to the question “Where did the event occur … Unsafe condition is any circumstance that increases the probability that a patient safety event may occur … Both near misses and unsafe conditions may occur more commonly in practice than incidents.
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Materials: Self-Assessment Worksheet for Pressure Ulcer Prevention Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-…

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